DR. BRIAN SULLIVAN (M.D.) – Diagnostic Radiology Physician, NPI 1780604835
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. BRIAN SULLIVAN (M.D.)
4801 W 81st St
Suite 108
Bloomington, MN 554371111
Phone: (952) 837-9700
Fax: (952) 837-9701
Type: Location
9055 Springbrook Dr NW
Coon Rapids, MN 554335841
Phone: (763) 780-9155
Type: Location
250 Thompson St
Saint Paul, MN 551022370
Phone: (651) 292-2000
Fax: (651) 292-2136
Type: Location
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 551133905
Phone: (651) 292-2000
Type: Mailing
West 81st Street, Bloomington, Hennepin County, Minnesota, 55420, United States
SUITE 108
BLOOMINGTON, MN 554371111
Phone: (952) 837-9700
Fax: (952) 837-9701
Type: Mailing
250, Thompson Street, Saint Paul, Ramsey County, Minnesota, 55102, United States
SAINT PAUL, MN 551022370
Phone: (651) 292-2000
Fax: (651) 292-2136
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $130.
Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Stryker Corporation ($130).
Total Amount
$130
General + Research + Ownership
Payments
1
Total payment records
General Amount
$130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $130 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050616000255 | I | Diagnostic Radiology | MN | TBD |
| I20200910001737 | I | Diagnostic Radiology | WI | TBD |
| I20210311002315 | I | Diagnostic Radiology | ND | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 748 | 13 | $0 |
| 70450 | Ct scan head or brain without contrast | 188 | 184 | $0 |
| 72125 | Ct scan of upper spine without contrast | 69 | 68 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 64 | 42 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 60 | 59 | $0 |
Insurance plans in this area (ZIP 55437)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 71010 | X-ray of chest, 1 view, front | 117 | 111 |
Group practice members
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